Tanasbourne Veterinary Emergency is a privately-owned referral hospital located seven miles west of Portland, Oregon in Beaverton. The owner of this thriving practice asked <strong>rfa</strong> to design a 18,600 SF state-of-the-art facility that includes eleven exam rooms, a six-table treatment area, three surgery rooms, cardiology, specialty procedures, CT scan, and all support functions needed for this size and type of hospital. A dramatic high-bay waiting area incorporates several special design features, including a unique primary doctor's route to the waiting area.

<p class="block-scroll">The initial Hillsboro, Oregon design for Tanasbourne Veterinary Emergency sited a 30,000 SF facility on a steeply-sloped, narrow, triangular building lot. In this case, the shape of the lot and required building setbacks necessitated locating the mass of the building close to the road at the bottom of the slope with insufficient space above and behind the building for parking. Part of the solution was to excavate a portion of the slope and insert a parking level and utility spaces below the building. This also created enough space above to locate all clinical functions on one level with grade access to the rear parking lot, but it would also necessitate a rear main entrance. Having resolved the major site challenges, the balance of the solution was to create an appealing street presence, even though the "front" of the building faced the back of the lot. Street appeal was created by using contrasting materials to define distinctive practice areas, such as the large central treatment window bays and book-ending stair towers. This concept translated well to the rear entrance façade with the incorporation of a cluster of clerestory shed roofs above the waiting areas. Architectural supergraphics signage elements were also designed to draw attention to the street-front façade. A smaller second floor accommodates all staff, support, and administrative spaces, including a generous landscaped green roof garden. The state-of-the-art hospital includes eleven exam rooms, a six-table treatment area, three surgery rooms, cardiology, specialty procedures, CT scan, and all support functions needed for this size and type of hospital. A dramatic high-bay waiting area incorporates several special design features, including local historic photos, a glazed staff cat play loft, and a unique primary doctor's route to the waiting area.</p>

Philadelphia Animal Specialty & Emergency (PASE) is a privately-owned, community-based veterinary hospital that provides 24/7/365 emergency care and a broad range of specialty services, including cardiology, critical care, diagnostic imaging, internal medicine, ophthalmology, and surgery. <strong>rfa</strong> was asked to design a new four-storied 64,000 SF building on a dense urban site along the rapidly-developing Washington Avenue corridor for this growing practice. The design incorporates a 35-car parking garage and triage/drop-off on the ground floor, emergency care on the second floor, and specialty care on the third floor. the fourth floor provides an open shell to maximize the site for future development. The innovative building façade features an off-set grid of colored insulated metal panels and aluminum-framed window openings. This dynamic design accommodates varying interior room sizes and functions, attracts attention, and minimizes construction cost and time. All hospital functions and finishes are state-of-the-art. Critical factors for success in this large, multi-story facility include: <ul> <li>rapid access to triage and treatment for critical care patients,</li> <li>tailored client waiting and patient flows to simultaneously meet the needs of both emergency and specialty departments, and</li> <li>optimization of shared resources between floors and departments without compromising care.</li> <ul>